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sf Pharmacotherapeutics for Advanced Practice Nurses
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and Physician Assistants 3rd Edition.
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, RosenthalLehne’s Pharmacotherapeutics for Advanced Practice Providers: 3rd sf sf sf sf sf sf sf
Edition (TestBank)
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LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICENURSES AND sf sf sf sf fs sf
PHYSICIAN ASSISTANTS 3rd EDITION ROSENTHAL TEST BANK
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Chapter1: Prescriptive Authority fs sf sf
Test Bank
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Multiple Choice sf
1. An APRN works in a urology clinic under the supervision of a physician who does not restrict the
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types of medications the APRN is allowed to prescribe. State law does not require the APRN to
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practice under physician supervision. How would the APRN‘s prescriptive authority be
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described?
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a. Fullauthority fs
b. Independent
c. Without limitation sf
d. Limited authority sf
ANS: B sf
The APRN has independent prescriptive authority because the regulating body does not require that
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the APRN work under physician supervision. Full prescriptive authority gives the provider the right
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to prescribe independently and without limitation. Limited authority places restrictions on the types
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of drugs that can be prescribed.DIF: Cognitive Level: ComprehensionREF: p. 1TOP: Nursing
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Process: I MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and
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ParenteralTherapies
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2. Whichfactors increase the need forAPRNsto have fullprescriptive authority?
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a. More patients will have access to healthcare. sf sf sf sf sf sf fs
b. Enrollment in medical schools ispredicted to decrease. sf sf sf sf fs sf s f
c. Physician‘s assistants are beingutilized less often. sf sf sf fs sf sf
d. APRN education is more complexthaneducation for physicians.
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ANS: A sf
Implementation of the Affordable Care Act has increased the number of individuals with health care sf sf sf sf sf sf sf sf sf sf sf sf sf sf
coverage, and thus the number who have access to health care services. The increase in the number
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ofpatients creates the need for more providers with prescriptive authority. APRNs can fill this
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practice gap.DIF: Cognitive Level: ComprehensionREF: p. 2TOP: Nursing Process:
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Implementation MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and
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Parenteral Therapies
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3. Which factors could be attributed to limited prescriptive authority for APRNs?
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Select allthat apply.
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a. Inaccessibilityof patient care fs sf sf
b. Higher healthcare costs s f fs sf
c. Higher quality medicaltreatment sf sf fs
d. Improved collaborative care sf sf
e. Enhanced health literacy sf sf
ANS: A , B sf sf sf
Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and accessible
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patient care. It may also lead to poor collaboration among providers and higher health care costs. It
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would not directly impact patient‘s health literacy.DIF:Cognitive Level:ComprehensionREF:
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p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic
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Integrity: Pharmacologic and Parenteral Therapies
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4. Whichaspects support the APRN‘s provision for fullprescriptiveauthority?
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Select allthat apply.
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a. Clinicaleducation includes prescriptionof medications and diseaseprocesses. fs sf sf fs sf sf sf fs
b. Federalregulations support the provisionof full authority for APRNs. fs sf sf sf fs sf sf sf sf
c. Nationalexaminations provide validationofthe APRN‘s ability to provide safecare. fs sf sf fs fs sf sf sf sf sf
d. Licensure ensures compliance withhealthcare and safetystandards. sf sf sf fs fs sf sf fs
e. Limiting provisioncandecrease healthcare affordability. sf fs fs sf fs sf
ANS: A, C , D sf sf sf sf sf
APRNs are educated to practice and prescribe independently without supervision. National
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examinations validate the ability to provide safe and competent care. Licensure ensures compliance
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with standards to promote public health and safety. Limited prescriptive authority creates numerous
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barriers to quality, affordable, and accessible patient care.DIF: Cognitive Level:
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ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs
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Category:Physiologic Integrity:Pharmacologic and ParenteralTherapies
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5. Whichaspects support the APRN‘s provision for fullprescriptiveauthority?
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Select allthat apply.
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a. Clinicaleducation includes prescriptionof medications and diseaseprocesses. fs sf sf fs sf sf sf fs
b. Federalregulations support the provisionof full authority for APRNs. fs sf sf sf fs sf sf sf sf
c. Nationalexaminations provide validationofthe APRN‘s ability to provide safecare. fs sf sf fs fs sf sf sf sf sf
d. Licensure ensures compliance with healthcare and safetystandards. sf sf sf sf fs sf sf fs
ANS: A, C , D sf sf sf sf sf
APRNs are educated to practice and prescribe independently without supervision. National
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examinations validate the ability to provide safe and competent care. Licensure ensures compliance
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with standards to promote public health and safety. Limited prescriptive authority creates numerous
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barriersto quality, affordable, and accessiblepatient care.DIF:Cognitive Level:
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Edition (TestBank)
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ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation MSC:NCLEX s f s f s f s f s f fs
ClientNeeds Category:Physiologic Integrity:Pharmacologic and Parenteral Therapies
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6. A family nurse practitionerpracticing in Maine is hired ata practice across state lines in
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Virginia. Whichaspect ofpractice maychange for the APRN?
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a. The APRN will have lessprescriptive authority inthe new position.
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b. The APRN will have more prescriptive authority inthe newposition.
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c. The APRN will have equalprescriptive authority inthe newposition.
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d. The APRN‘s authoritywill depend on federalregulations.
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ANS: A sf
Virginia allows limited prescriptive authority, while Maine gives full authority to certified nurse
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practitioners. The federal government does not regulate prescriptive authority.DIF: Cognitive
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Level: ComprehensionREF: p. 3TOP: Nursing Process: Implementation MSC: NCLEX Client
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Needs Category:Physiologic Integrity:Pharmacologic and Parenteral Therapies
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Rosenthal: Lehne's Pharmacotherapeutics for Advanced Practice Providers, 2nd Ed.
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Chapter2: Rational Drug SelectionandPrescription Writing
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Test Bank sf
sf Multiple Choice sf
7. How cancollaborationwitha pharmacist improvepositive outcomes for patients?
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Select allthat apply.
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a. Pharmacists cansuggest foods that will help withthe patient‘s condition. sf fs sf sf sf sf sf fs sf sf
b. Pharmacists have additional informationondrug interactions. sf sf sf fs fs sf
c. The pharmacist cansuggest adequate medication dosing.
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d. Pharmacists have firsthand knowledge ofthe facility formulary. sf sf sf sf fs sf sf
e. Pharmacycanalter prescriptions when necessaryto prevent patient harm. fs fs sf sf sf sf sf sf sf
ANS: B, C , D sf sf sf sf sf
Providers should collaborate with pharmacistsbecause theywill likely have additional informationon
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formulary, drug interactions, and suggestions for adequate medication dosing. Dietitians can make
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foods recommendations to treat the patient‘s condition. The pharmacist can contact the prescriber
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about questionable prescriptions, but cannot alter the prescription without notification of and
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approval by the provider.DIF: Cognitive Level: ComprehensionREF: p. 9TOP: Nursing Process:
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Diagnosis MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk
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Potential
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